Baron Bonanza Pilot Training | Register for a Clinic

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Address*

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Email*

Daytime Phone*

Cell Phone

Sharing your cell phone number with us is important as it may help us communicate with you during a Clinic

Clinic Information

Virtual Clinic Date*

Saturday, October 3, 2020 [12 Noon-4 pm ET]
Saturday, October 17, 2020 [12 Noon-4 pm ET]
Saturday, November 7, 2020 [12 Noon-4 pm ET]

Select the virtual clinic or clinics you will attend. If the clinic is less than a week from now, please call 970-206-0182 to register.

How many BPT (or similar) weekend clinics have you previously attended?

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Promo Code

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Pilot Registration for Virtual Clinic*

Virtual BPT Clinic

Aircraft Information

Aircraft Type

Aircraft N#*

Year aircraft built

Dual Controls?*

Yes - dual control yoke
No - single control yoke

Turbocharged/Turbonormalized?

Yes

Allison Turboprop?

Yes

What GPS, Autopilot, MFD or other special equipment does your aircraft have?

Are you sharing an aircraft with another attendee? If so please provide his/her name

Please answer the following questions about your flight time

Estimated total time*

Bonanza time

Baron/Travel Air/Duchess time

Duke time

Are you instrument rated?*

Yes
No

Pilot Certificate Number*

Insurance & Documents we must receive from you before your flight, if you choose to fly later:

Insurance Certificate naming BPT Inc. as an additional insured AND a waiver of subrogation
Sign, date and return the Hold Harmless document

The above should be sent to our insurance manager:

Pam Bailey
Email: registrar@pbpt.org

On the day of your flight you will complete a PIC Statement

Cancellation Policy

If you cancel more than 3 weeks before the program begins, you can receive a full refund less a $100 service fee for refunds greater than $1000. If you cancel within 3 weeks of when the program begins, you may either take another program within 12 months with a $150.00 transfer fee, or receive a 50% refund.

Promo Code E2013 Entered. You get one Companion Ground School for free!
Leave the Companion Ground School QUANTITY field blank and we'll enroll the companion named above.

Grand Total

$0.00

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Register for a Clinic

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Virtual Clinic Registration Form

Clinic Information

Aircraft Information

Please answer the following questions about your flight time

Insurance & Documents we must receive from you before your flight, if you choose to fly later:

Cancellation Policy